Your skin is an investment...not an expense.
Thank you for providing your information. As part of your client profile, it is kept strictly confidential. With your consent, we will send you an invitation to the AlumierMD web portal, where you will have access to your customized skincare regimen chosen specifically for the skin concern(s) you have listed above / or which will be discussed during a one-on-one Virtual Skincare Consultation.
I understand, have read and completed this questionnaire truthfully. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I understand that withholding information or providing misinformation may result in contraindications and/or irritation when using medical grade ingredients which are of higher concentration than over the counter / drug store cosmetics and I release the Skincare Specialist from liability and assume full responsibility thereof.
France Di Paola, AlumierMD licenced Skincare Specialist
ALL SKIN RADIANCE a subsidiary of
CONFIDENT IMAGE CHEZ FRANCE
36 Hiscott St., St. Catharines, ON L2R 1C8